CT Scan with 3 Dimensional Reconstruction showing a large cancer in the left kidney

Uro-oncology deals with cancers of the urinary system and male reproduction system.These include cancer of kidney, adrenal
gland, ureter, bladder, prostate, urethra, penis and testis. Our centre offer comprehensive management of these cancers.

Incidence

Prostate
cancer is the commonest cancer in men in both America and Europe. In Singapore, it is the fastest increasing cancer with the latest
survey showing it to be the third most common cancer in Singapore men.

Kidney cancer is also on the rise with incidence doubling in
the last 35 years in Singapore. Both kidney and bladder cancers are much more common in men than women. Bladder cancer is also one
of the ten most common cancers in Singapore, having a strong association with smoking and aging.

Testis cancer is less common but affects
younger men. In fact, it is the most common cancer in a man between the ages of 17 to 34 years old.

Cancer incidence in Singapore males (2002-2006)

Diagnosis

Some urology cancers may show signs and symptoms such as pain in the back, blood in urine, difficulty in passing urine or
a lump in the testis. However, many early prostate cancers do not have any symptoms and is only diagnosed after an abnormal routine
blood test called PSA (prostate cancer marker). Large kidney cancers may be silent and diagnosed during a scan of the abdomen.

Treatment

Treatment
of uro oncology conditions have improved dramatically in the last decade. Many cancers are diagnosed in the early stage and surgical
removal of the organ or part of the organ has given the patient a chance of cure. Surgical techniques have improved with the advancement
in laparoscopy surgery (key hole surgery), endoscopy surgery (scope surgery without a surgical cut) and robotic assisted surgery.Hence, surgical outcomes are much better; causes less pain and quicker recovery for the patient.

As a result of extensive medical research,
we have a better understanding of cancer behavior and are able to fine tune our treatment to each cancer, giving the optimal result.
This has necessitated the close collaboration between the urologist (urology surgeon and usually the main doctor), medical oncologist
and radiation oncologist.

Cancers with previously poor outcomes have been successfully treated with a combination of planned
surgery followed by chemotherapy or radiation.Our centre emphasizes on this close collaboration and pooling of expertise in
the management of urology oncology conditions.